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DOCTORS LAKE FAMILY DENTAL
NPI 1225876717
Clinic/Center - Dental in Fleming Island, FL

Active since July 18, 2024
1665 EAGLE HARBOR PKWY, FLEMING ISLAND, FL 32003(904) 264-6700(904) 264-6855 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Doctors Lake Family Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOCTORS LAKE FAMILY DENTAL (NPI 1225876717) is a healthcare organization registered as a dental in Fleming Island, Florida and active in the NPI registry since July 2024. The organization lists Fernando Padron, Prosthodontist/owner, as its authorized official.

NPPES Registry Identity

NPI1225876717
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDOCTORS LAKE FAMILY DENTAL
Location Address1665 EAGLE HARBOR PKWYFleming Island, FL 32003-4802
Mailing Address1665 Eagle Harbor PkwyFleming Island, FL 32003-4802 · (904) 264-6700 · Fax (904) 264-6855
Phone(904) 264-6700
Fax(904) 264-6855
Organization SubpartNo
Authorized OfficialFernando PadronProsthodontist/owner · (904) 264-6700
Enumeration DateJuly 18, 2024
NPPES CertifiedJuly 18, 2024
✔ NPI 1225876717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1665 EAGLE HARBOR PKWY, Fleming Island, FL 32003
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. FERNANDO J PADRON DDS
Dentist (General Practice)
1665 EAGLE HARBOR PKWY
FLEMING ISLAND, FL 32003
Duval County (904) 264-6700
DR. AMY L VALENTI DMD
Dentist
1665 EAGLE HARBOR PKWY
FLEMING ISLAND, FL 32003
Duval County (906) 637-1732

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Doctors Lake Family Dental's NPI number?

The NPI number for Doctors Lake Family Dental is 1225876717. It was assigned to this organization in the NPPES registry on July 18, 2024.

Where is Doctors Lake Family Dental located?

Doctors Lake Family Dental is located at 1665 Eagle Harbor Pkwy, Fleming Island, FL 32003. The listed phone number is (904) 264-6700.

What is Doctors Lake Family Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Doctors Lake Family Dental was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.